Individual provider Active NPI

Rachel Anne Regina, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1013473644
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925168 Issued in CO
Practice address
1022 Pontiac St
Denver, CO 80220-4830
Phone
(720) 463-1339
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09925168 CO Primary

Addresses

Primary practice location

1022 Pontiac St
Denver, CO 80220-4830

Mailing address

1022 Pontiac St
Denver, CO 80220-4830
Phone (720) 463-1339

Other practice location 1

7275 E 8th Ave
Denver, CO 80220-4846
Phone (720) 463-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190409002216 CO Practitioner - Clinical Social Worker 2961743596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1022 Pontiac St
Denver, CO 80220-4830
Phone (720) 463-1339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09925168COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Minds Clinical CurrentSince Feb 24, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1013473644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 PONTIAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204830",
            "telephone_number": "720-463-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 PONTIAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204830",
            "telephone_number": "720-463-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7275 E 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802204846",
            "country_code": "US",
            "telephone_number": "720-463-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGINA",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.